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Obesity poses additional challenges to the care of the dialysis patient, including difficulties in creating vascular access and inserting Tenckhoff catheters, higher rates of catheter malfunction and peritonitis, the need for longer and\/or more frequent dialysis (or peritoneal dialysis [PD] exchanges) to achieve adequate clearance, increased metabolic complications particularly with PD, and obesity is a barrier to kidney transplantation. In this article, we review special considerations in performing PD, hemodialysis\u00a0and transplant in the obese patient, as well as the evidence behind medical and surgical management of obesity in dialysis patients.<\/jats:p>","DOI":"10.1111\/sdi.12876","type":"journal-article","created":{"date-parts":[[2020,4,11]],"date-time":"2020-04-11T00:24:03Z","timestamp":1586564643000},"page":"279-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Impact of obesity on dialysis and transplant and its management"],"prefix":"10.1111","volume":"33","author":[{"given":"Tayyab S.","family":"Diwan","sequence":"first","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Cincinnati Cincinnati OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison C.","family":"Cuffy","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery 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